Notes in OG6.2 Ectopic Pregnancy

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Status	Last Update	Fields
Published	10/04/2024	Most common site of implantation of an ectopic pregnancy → {{c1::ampulla}}
Published	10/04/2024	Best evidence against an ectopic pregnancy → {{c1::Intrauterine pregnancy}}
Published	10/04/2024	T/F Gestational sac rules out ectopic pregnancy.{{c1::F. May be a pseudosac}}
Published	10/04/2024	In an ectopic pregnancy, serum β-hCG levels increase by {{c1::less than 66%}} in 48 hours
Published	10/04/2024	Indication for a laparoscopic salpingostomy in a patient with an ectopic pregnancy:- {{c1::Contralateral tubal disease where fertility is desired…
Published	10/04/2024	Indications for medical management (methotrexate) of an ectopic pregnancy:- {{c1::Hemodynamically stable}}- {{c1::β-hCG between 1500 and 500…
Published	10/04/2024	Must check serum β-hCG between days {{c1::4 and 7}} post methotrexate treatment for ectopic
Published	10/04/2024	Must check serum β-hCG between days {{c1::4 and 7}} post methotrexate treatment for ectopic
Published	10/04/2024	Follow up hCG weekly after methotrexate for ectopic pregnancy, until hCG < {{c1::5}}
Published	10/04/2024	Most common side effect of methotrexate used for ectopic pregnancy → {{c1::transient abdominal pain}}
Published	10/04/2024	Requirements for expectant management of ectopic pregnancy:- {{c1::β-hCG < 1500 with falling levels over 48 hrs}}- {{c1::asymptomatic}}- …
Published	10/04/2024	Positive pregnancy test with no evidence of intrauterine or extrauterine pregnancy on transvaginal ultrasound → {{c1::pregnancy of unkn…
Published	10/04/2024	Aetiology of pregnancy of unknown location:- {{c1::Too early }}- {{c1::Failed pregnancy }}- {{c1::Ectopic (consider until pro…
Published	10/04/2024	Incidence of ectopic pregnancies = {{c1::1-2}}% (1 in {{c1::80}} pregnancies)
Published	10/04/2024	mortality rate of ectopics = {{c1::16}} deaths per 100,000 ectopics
Published	10/04/2024	{{c1::10}}% risk of recurrence so screen with {{c1::early reassurance scans}} in future pregnanciesBut, {{c1::70}}% will have normal subsequent intrau…
Published	10/04/2024	Methotrexate is successful in managing {{c1::65-95::range}}% of ectopic pregnancies
Published	10/04/2024	Risks of medical management (methotrexate) of ectopic pregnancy{{c1::tubal rupture}} in 7% -> emergency surgerypotential need for {{c1::2nd dose}}{…
Status	Last Update	Fields